AAPC - Back to school
Results 1 to 4 of 4

Thread: HPI Again

  1. #1

    Default HPI Again

    AAPC: Back to School
    I just submitted a question on this issue and I Thank You for helping me, but now my doctor is stating her HPI can come from her CC. Once again I disagree. Please help. As you can tell I am having a issue. Thanks

  2. #2
    Join Date
    Apr 2007
    North Carolina


    The levels of E/M services are based on four types of history (Problem Focused, Expanded Problem Focused, Detailed, and Comprehensive). Each type of history includes some or all of the following elements:

    • Chief complaint (CC);
    • History of present illness (HPI);
    • Review of systems (ROS); and
    • Past, family and/or social history (PFSH).

    The CC, ROS and PFSH may be listed as separate elements of history, or they may be included in the description of the history of the present illness.


  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Please see previous post

    Please see my response on your previous post. As well as Rebecca's (as always) very helpful explanation above.

    Physicians are not required to neatly label each element of their documentation (though it sure helps when they do!).

    But the coder cannot double dip - counting the same verbiage for two different things.

    Hope that was helpful.

    F Tessa Bartels, CPC, CEMC

  4. #4


    Thanks to both of you

Similar Threads

  1. Hpi
    By lburke31 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-16-2013, 09:43 AM
  2. hpi
    By alices in forum Emergency Department
    Replies: 3
    Last Post: 10-23-2012, 07:50 AM
  3. Hpi
    By terricox in forum E/M
    Replies: 2
    Last Post: 03-10-2010, 06:09 PM
  4. Hpi
    By NESmith in forum Family Practice
    Replies: 3
    Last Post: 03-09-2010, 01:53 PM
  5. Hpi
    By dsmith06351 in forum E/M
    Replies: 2
    Last Post: 03-05-2010, 11:42 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.